Provider Demographics
NPI:1417279241
Name:KRAKHMAL, RUSLANA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:RUSLANA
Middle Name:
Last Name:KRAKHMAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 OCEANA DR E APT 4B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6678
Mailing Address - Country:US
Mailing Address - Phone:718-290-4233
Mailing Address - Fax:718-237-9202
Practice Address - Street 1:129 MONTAGUE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3543
Practice Address - Country:US
Practice Address - Phone:718-237-2489
Practice Address - Fax:718-237-9202
Is Sole Proprietor?:No
Enumeration Date:2010-02-21
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053611183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist